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1053022152
ESSENTIAL HEALTHNP LLC
CHICAGO, IL
NPI
1053022152
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Entity Type
Organization
Authorized Contact
NICOLE Q WILSON
Owner
312-590-1975
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2022-12-09
Last Update Date
2023-04-21
Business Address
ESSENTIAL HEALTHNP LLC
2315 E 93RD ST STE 339
CHICAGO, IL 60617-3916
Phone number: 312-590-1975
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Mailing Address
ESSENTIAL HEALTHNP LLC
8833 S CRANDON AVE
CHICAGO, IL 60617-3051
Phone number: 312-590-1975
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